This type of therapy helps people understand and change deep-seated, unconscious reasons for present problems that can feel ‘chronic’. A ‘psychodynamic’ approach describes how we ‘re-live the past in the present’. Sometimes we continue to repeat unhelpful or destructive patterns in our relationships or with ourselves, despite our best intentions. This can inhibit our enjoyment of life, hold us back from developing our potential, and even sabotage success. Psychodynamic psychotherapy is usually long term (30 sessions or more) but this approach (linking the past and present) can be used in briefer counselling when difficulties are less entrenched.